Learning Program Sip and Chat

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Learning Program Sip and Chat

Date: Feb. 6
Time: 9:00am
Location: Virtual
Who: Parents of children with Down syndrome ages 5-18

Unique times...unique programs! We are working with our partners at UCF to bring to you an innovative iCan Learn program to best serve our families. The Sip and Chat will feature a panel of UCF professors/iCan program experts and doctoral students to address your specific needs and questions. The panel will discuss and share resources around education, mental health and wellness, and behavior. To make this talk as tailored to your needs as possible, please submit the following form.

General Information

Parent/Guardian First Name *

Parent/ Guardian Last Name *

Address Street *

City *

State *

Zip Code *

County *

Cell Phone *

Email Address *

Name of Child *

Child's Birth date *

YYYY

What school does your child attend? *

What grade is your child currently in? *

What learning mode did your family choose for school? (virtual, in person, mix, etc) *

What have been the biggest challenges during this time? *

What have been your child's biggest successes during this time? *

Are you a member of The Foundation? *

I have "Family Membership".

I have a "Community Membership".

I am a Volunteer.

I am not a member.

Photo, Video and Research Release Form

Down Syndrome FOUNDATION of Florida and University of Central Florida
gather photos and video of people with Down syndrome, their families and
friends for the purposes of education, celebration, promotion and
awareness. The FOUNDATION and our Learning Program partners also
use such media as content in presentations that teach families and
educators across the nation how to work with children with Down
Syndrome.

The FOUNDATION and UCF will also be conducting research about our
families participation in The Learning Program.

Please read and sign the following release if you are willing to grant us
permission to use photos or videos involving you, your child or family and
or your loved one to be involved in our research.

I hereby grant The FOUNDATION and UCF, their affiliates,
representatives and employees, the right to take and use photographs or
video of me and/or my minor child in connection with the above-identified
purposes.

I am a parent/guardian. I have read the above and fully understand its contents. *

I hereby grant permission for photograph(s)/video clips to be used in the manner described above.

I do not consent.

About My Child

Is there any information about your child that you would like to share with
the iCan Learn team? If your child has any special allergies,
behaviors, sensory issues, transition issues, additional diagnoses
(apraxia, autism, etc.) or fears, please take a moment to let us know so
we can work most effectively with your child.

Submit

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